Every day I experience life in the world of healthcare IT, supporting 3000 doctors, 18000 faculty, and 3 million patients. In this blog I record my experiences with infrastructure, applications, policies, management, and governance as well as muse on such topics such as reducing our carbon footprint, standardizing data in healthcare, and living life to its fullest.

Monday, April 7, 2008

Tamperproof prescriptions

Following several meetings internally, with state agencies and with professional organizations, BIDMC elected to use tamper proof paper stock in printers which produce electronic prescriptions (not e-prescribing, which is exempt from the regulation). The new stock will be used to write all prescriptions, regardless of payer/insurer and contains the features proposed by MassHealth as "standards" for Tamper-Resistant Prescription Pads:

It has a greenish hue.

It is perforated (twice) so that up to three prescriptions can be printed on one sheet.

When photocopied, the word "VOID" will appear in multiple locations.

The backside has Rx icons printed in thermochromic ink. This means the icon will disappear when rubbed with your finger and then reappear when you stop.

We're implementing this in two phases. From April 1, 2008 to October 1, 2008, we can still use plain paper, but we've modified prescription printing as permitted by the new regulation :

“Quantity Border and Fill (for computer generated prescriptions on paper only), i.e. Quantities are surrounded by special characters such as an asterisk to prevent alteration; e.g. QTY **50** and Value may also be expressed as text, e.g. (Fifty), (optional).”

“Refill Border and Fill (for computer generated prescriptions on paper only), i.e. Refill quantities are surrounded by special characters such as an asterisk to prevent alteration; e.g. QTY **5** and Value may also be expressed as text, e.g. (FIVE), (optional).”

By October 1, 2008, we'll replace all plain paper with the tamperproof paper as required by the regulation.

This has been an effort requiring coordination among IT, providers, administration, pharmacies, and government. It's been quite complex and we're hopeful that our planning, communication, and phased implementation effort will be successful.

Aside from the complex physical connections that make up its infrastructure, the Internet is facilitated by bi- or multi-lateral commercial contracts (e.g., peering agreements), and by technical specifications or protocols that describe how to exchange data over the network. Indeed, the Internet is essentially defined by its interconnections and routing policies.

As of December 30, 2007, 1.319 billion people use the Internet according to Internet World Stats. Writing in the Harvard International Review, philosopher N.J. Slabbert, a writer on policy issues for the Washington, D.C.–based Urban Land Institute, has asserted that the Internet is fast becoming a basic feature of global civilization, so that what has traditionally been called "civil society" is now becoming identical with information technology society as defined by Internet use. - web design company, web designer, web design india

Now do you worried about that in the game do not had enough aion kina to play the game, now you can not worried, my friend told me a website, in here you can buy a lot aion online kina and only spend a little money, do not hesitate, it was really, in here we had much aion gold, we can sure that you will get the cheap aion kina, quick to come here to buy aion kina.

Now do you worried about that in the game do not had enough aion kina to play the game, now you can not worried, my friend told me a website, in here you can buy a lot aion online kina and only spend a little money, do not hesitate, it was really, in here we had much aion gold, we can sure that you will get the cheap aion kina, quick to come here to buy aion kina.